Individual provider Active NPI

Caroline Larosa

  • Psychiatric/Mental Health Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1114635786
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404384-01 Issued in NY
Practice address
111 Smithtown Byp Ste 204
Hauppauge, NY 11788-2512
Phone
(631) 275-6694
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F404384-01 NY Primary

Addresses

Primary practice location

111 Smithtown Byp Ste 204
Hauppauge, NY 11788-2512

Mailing address

78 Broadway
Malverne, NY 11565-1635
Phone (516) 787-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222001033 NY Practitioner - Nurse Practitioner 6103299110 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F404384-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Stern Nurse Practitioner in Psychiatry P.C. Single Specialty CurrentSince Nov 19, 2022 Accepting new patients
Blackstone NP in Psychiatry PLLC Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Queens Psychiatric & Medical Care P.C. Single Specialty CurrentSince Jan 17, 2026 Accepting new patients
Steps to Serenity NP in Psychiatry PC Single Specialty CurrentSince May 31, 2025 Accepting new patients
Orenda Psychiatry PLLC Single Specialty Past Accepting new patients

Locations

111 Smithtown Byp
Ste 204
Hauppauge, NY 11788
Phone (631) 275-6694

9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812

405 Rxr Plz
Uniondale, NY 11556
Phone (516) 478-9200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1114635786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 BROADWAY",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651635",
            "telephone_number": "516-787-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 204",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "631-275-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSA",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404384-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.